KENDRA MORGAN, WHO IS HERE TO WELCOME YOU AND INTRODUCE OUR PANELISTS FOR TODAY.
WELCOME, KENDRA.
.
>> THANK YOU SO MUCH, JENNIFER.
MY NAME IS KENDRA MORGAN, AND I'M JOINED BY SEVERAL PRESENTERS TODAY.
JOIN ME IN WELCOMING TRAMAINE EL-AMIN FROM THE NATIONAL COUNCIL OF BEHAVIORAL HEALTH, AND SHEILA
PREVOST FROM THE NEW ORLEANS PUBLIC LIBRARY AND JESSICA STYONS FROM THE NEWEL PUBLIC LIBRARY.
IT IS SO WONDERFUL TO HAVE YOU ALL HERE TODAY TO TALK ABOUT A VERY IMPORTANT TOP HE CAN, AND THAT
IS THE COMMUNITY HEALTH CHALLENGES THAT LIBRARIES ARE HELPING TO ADDRESS.
BECAUSE PUBLIC LIBRARIES ARE BUILDINGS THAT ARE OPEN TO ALL, INCLUDING THOSE WHO MAY BE IN CRISIS
AND LOOKING FOR SAFE SPACE, LIBRARY STAFF ARE FINDING THEMSELVES ON THE FRONT LINES OF THE OPIOID
CRISIS IN PARTICULAR, AND LIABLE RATHER RESPONSES TO THIS ISSUE HAVE INCLUDED PROVIDING INFORMATION
ON PREVENTION, TREATMENT AND RECOVERY SUPPORT AND TRAINING STAFF ON THE FACTS.
AS WELL AS HOW TO USE NALOXONE TO HELP REVERSE OPIOID OVERDOSES.
THESE IMAGINGS ARE ALL FROM LIBRARIES HELPING TO RESPOND TO THE OPIOID CRISIS BUT LIBRARIES SUPPORT
THE PUBLIC IN ADDRESSING HEALTH RELATED TOPICS IN SO MANY WAYS.
YOU CAN CHECK OUT OUR HELP HAPPENS ON WEB JUNCTION, WE WILL POST A LINK IN THE CHAT FOR YOU, AND I
ENCOURAGE TO YOU EXPLORE THESE RESOURCES AS WAYS TO INSPIRE YOUR LIBRARY IN RESPONDING TO THE
OPIOID CRISIS AS WE LOOK AT THE BIGGER PICTURE OF LIBRARY ISES SUPPORTING HEALTH CHALLENGES, THIS
IS A QUOTE FROM THE HEALTHY LIBRARY INITIATIVE, WHICH IS A TIP BETWEEN THE UNIVERSITY OF
PENNSYLVANIA AND TREAT LIBRARY OF PHILADELPHIA.
THE LIKE RATHER OFFERINGS MANY DIFFERENT PROGRAMS AND SERVICES TO THE COMMUNITY CONNECTED TO
HEALTH, AND THE REPORT NOTES THERE ARE TWO PARTICULAR STRENGTHS THAT LIBRARY OFFERS TO ADVANCING
HEALTHY COMMUNITIES THAN IS ACCESSIBILITIES AND TRUST WORTHINESS.
THESE TWO ASSETS ARE REALLY IMPORTANT TO KEEP IN MIND AS WE GO THROUGH THIS SESSION.
THINK ABOUT SPORING PEOPLE WHO ARE FACING MENTAL HEALTH ISSUES OR SUBSTANCE USE DISORDER AND THIS
COULD BE THE INDIVIDUALS THEMSELVES OR THEIR FRIENDS AND FAMILY AS ORGANIZATIONS THAT ARE SEEN AS
BOTH ACCESSIBLE AND TRUSTWORTHY, THIS PRESENTS A TREMENDOUS OPPORTUNITY.
I DID WANT TO MENTION THIS WEBINAR IS PART OF A LARMER PROJECT CALLED PUBLIC RESPONDS AND IT IS A
PEP BETWEEN OCLC AND THE PUBLIC LIBRARY ASSOCIATION AND WE HAVE FUNDING FROM THE LIBRARY SERVICES.
AS PART OF THE PROJECT, WE'VE CONNECTED WITH LIBRARIES IN BOTH LOCAL AND NATIONAL ORGANIZATIONS
INTERESTED IN PARTNERING WITH LIBRARIES AND WE'VE ALSO LEARNED MORE ABOUT THE RESPONSES TO THE
OPIOID CRISIS AND THE IMPORTANT CONTRIBUTION TO OVER ALL RESPONSES TO SUBSTANCE USE DISORDER AND
MENTAL HEALTH, AS WELL SO WHEN WE WERE CONDUCTING THE RESEARCH FOR THIS PROJECT THAT RESULTED IN 8
CASES OF RESPONDING TO THE OPIOID CRISIS, ONE OF THE BIGGEST CHALLENGES SEEN BY LIBRARIES AND THEIR
PARTNERS IS THE PRESENCE AND IMPACT OF STIGMA.
INTERVIEWEES TALKED ABOUT HOW IT WAS IMPACTING THEIRS WORK AND THE LIBRARIES AND PARTNERS EXPRESSED
CONCERNS WITH HOW ADDRESSING THE TOP HE CAN OF SUB STANCHION USE DISORDER WORRY PERCEIVED BY
PATRONS, BUT ALL EIGHT OF THE LIBRARIES, INCLUDING THOSE INCLUDED IN THE RESEARCH, WERE DOING
SOMETHING TO CONNECT THE COMMUNITIES AROUND THESE NEEDS.
WE'VE SEEN AND HEARD EXAMPLES FROM HUNDREDS MORE.
I GET E-MAILS FROM FOLKS ALL THE TIMESHARING THEIR STORIES.
WE HAVE AN ACTIVE FACEBOOK GROUP WHERE PEOPLE TALK ABOUT HOW THEY'RE RESPOND, AND THE PROGRAMS
THEY'RE RESPONDING.
WHAT WE'VE SEEN IN SOME CASES, TO ADDRESS THE STIGMA, LIBRARIES ARE INTENTIONALLY REFRAMING THEIR
WORK MORE AROUND THE IDEA OF WELLNESS WITH THE GOAL OF ENCOURAGING MORE ATTENDANCE AND BROADER
INTEREST.
THE RESEARCH HIGHLIGHTED A SECOND CHALLENGE AND IT LIKELY WON'T SURPRISE ANY OF YOU AND THAT'S THE
NEED FOR FUNDING TO SUPPORT OPIOID RESPONSE PROGRAMMING.
WE WON'T FOCUS ON THIS TODAY BUT THIS IS SOMETHING THAT COMES UP SO CONSISTENTLY FOR LIBRARIES AS
THEY SEEK TO MEET COMMUNITY NEEDS ON SO MANY TOPICS SO WE DO WANT TO ACKNOWLEDGE WITH
FUNDING YOU MAY BE ABLE TO FIND ADDITIONAL STAFF CAPACITY AND RESOURCES THAT CAN BE BOLSTERED
THROUGH PARTNERSHIPS AND COMBINING STRENGTHS AND EXPERTISE TO MEET A UNIFYING CONCERN IN THE
COMMUNITY.
SO ONE OF THE FIRST TOPICS WE WANT TO TALK ABOUT IN REGARD TO HOW WE CAN MEET COMMUNITY CHALLENGES
IS THE ISSUE WAS LANGUAGE, BEING AWARE OF HOW LANGUAGE CAN IMPACT THE COMMUNITY, IN THE REPORT IN
PARTICULAR, WE HAVE AN OPPORTUNITY USE SUPPORTIVE AND NONJUDGMENTAL LANGUAGE WHEN TALKING ABOUT
PATRONS OR COMMUNITY MEMBERS WHO MAY BE EXPERIENCING HEALTH CHALLENGES, AND THIS IS A BIG ONE
BECAUSE BEING AWARE OF OUR OWN BIASES CAN HELP US IN SO MANY ASPECTS OF OUR WORK AND THE CONNECTION
OF IMPACTING HEALTH NEEDS IS PARTICULARLY CRITICAL.
HOW WE TALK ABOUT THINGS, ESPECIALLY LANGUAGE AND WORDS THAT WE CHOOSE CONNECTED TO MENTAL HEALTH
AND SUB TUESDAY USE DISEXTRAORDINARY HOMELESSNESS IT REALLY MATTERS.
WE ALL HAVE THE OPPORTUNITY TO CHOOSE WORDS THAT SHOW RESPECT AND IN THE COMING DAYS AND WEEKS I'M
GOING TO ENCOURAGE TO YOU THINK ABOUT CONVERSATIONS YOU'VE HEARD IN YOUR LIBRARIES WHEN SOME OF
THESE SCENARIOS APPLY AND CONSIDER THE FACT THOSE AROUND US, FAMILY, FRIENDS AND COLLEAGUES MAY BE
PRIVATELY DEALING WITH ISSUES AND WE CAN SHOW SUPPORT AND COMPASSION IN THE LANGUAGE THAT WE USE
AND GET REALLY, CAN'T BE UNDER STATED THAT SOMETIMES WE JUST DON'T KNOW WHAT PEOPLE ARE GOING
THROUGH, BUT THE WAY WE RESPOND AND ACT CAN CERTAINLY HELP SOMEONE FEEL MORE CONFIDENT OR WILLING
TO SHARE.
THESE ARE SOME RECOMMENDED CHANGES TO LANGUAGE FROM THE ADDICTION POLICY FORUM AND YOU WILL FIND
REFERENCE TO THIS TYPE OF SHIFT SO MANY PLACES.
WHAT'S NICE ABOUT THE POLICY FOR.
ARE YOU IS THEY HAVE HELPFUL INFO GRAPHICS AND RESOURCES YOU CAN TUESDAY SHARE THIS INFORMATION
WITH COLLEAGUES AND FRIENDS, AFTERNOON YOU WILL NOTICE THAT ONE OF THE BIG SHIFTS HERE IS A FOCUS
ON PERSON'S FIRST LANGUAGE AND TO USE, TO ADDRESS ISSUES AS ONES THAT, CAN TREATED, NOT JUST AS A
BAD PROBLEM, SO WE CAN STOP USING WORDS LIKE JUNKY OR DRUGGY AND, INSTEAD, USE SUBSTANCE USE
DISORDER BECAUSE THIS IS A MEDICAL ISSUE AND IT IS SOMETHING THAT PEOPLE CAN RECEIVE TREATMENT FOR,
JUST LIKE OTHER MEDICAL DISORDERS.
ANOTHER RESOURCE THAT YOU MIGHT WANT TO CHECK OUT IS CALLED THE ADDICTION-ARY.
THIS IS ONE EXAMPLE.
THE SUBSTANCE MISUSE ENDEGREES TREE HAS A LITTLE STIGMA ALERT NOTIFICATION NEXT TO IT TO LET YOU
KNOW THAT THIS PHRASE IN PARTICULAR MAY CARRY STIGMA WITH IT, SO THEY PROVIDE A RECOMMENDATION ON
DIFFERENT TERMS YOU MIGHT WANT TO USE INSTEAD, BUT JUST SUBSTANCE USE OR NONMEDICAL USE, AND THERE
ARE JUST SO MANY OPTIONS FOR CHANGING OUR LANGUAGE, AND ONE OF THE EXERCISES THAT YOU WILL FIND IN
THE LEARNER GUIDE FOR THIS WEBINAR IS TAKING A TIME TO DO A LANGUAGE AUDIT, LOOKING AT WHAT
LANGUAGE WE USE IN THE WORK PLACE AND FOR LIBRARIES IS A GOOD EXAMPLE OF A I WAS THAT YOU CAN
EVALUATE THE ATLANTIC OCEAN IN OUR PROGRAMMING DESCRIPTIONS TO MAKE SURE THAT WE AREN'T ADDING BE
ANY FEARS AROUND A TOPIC.
SO, THINKING ABOUT PROGRAMMING, IT'S SUCH A CORE PART OF WHAT WE DO IN LIBRARIES AND WE HAVE TO
REMEMBER GOING BACK TO HOW WE OPEN THE SESSION IS THAT LIBRARIES ARE SEEN AS TRUSTWORTHY BY THE
COMMUNITY, SO WHEN LIBRARIES INITIATE OR INCLUDE A RESPONSE TO ANY TOPIC, IT CAN GOING TO REMOVE
BARRIERS TO INFORMATION, WHICH IS CORE TO WHAT WE DO.
SO JP IS GOING TO GIVE YOU A QUICK INTRODUCTION TO THE AND NOTATION TOOLS IN WEBEX.
>> HI, ALL, YES.
WE'RE EXCITED TO HAVE A LITTLE ENGAGEMENT HEAR.
YOU WILL LOOK FOR A CHECK MARK.
FIRST, MOUSE OVER THE SLIDE AND YOU WILL SEE A LONG WHITE PILL MENU APPEAR ON THE FAR LEFT AND
THERE IS A SQUIGGLE IS SECOND OPTION, CLICK ON THE VIGLE THAT ICON WILL OPEN ANOTHER WINDOW HERE
THAT LOOKS MUCH LIKE THIS ON THE FAR RIGHT.
IF YOU GO ABOUT HALFWAY DOWN TO THE SQUARE AND THEN HOVER OVER THAT AND THERE IS A LITTLE TINY
ARROWING TO THE RIGHT OF THAT YOU SHOULD SEE A SUB MENU WITH A CHECK MARK, CLICK ON THE CHECK MARK
AND THEN YOU CAN CLICK ON THE SLIDE, EXCELLENT, GREAT TO SEE FOLKS TESTING IT OUT HERE.
FEEL FREE TO TEST IT THERE.
IF YOU'RE NOT SEEING THIS, KNOW THAT YOU CAN ALSO CHIME IN ON CHAT, IF YOUR CHAT BUBBLE IS NOT
OPEN, YOU CAN OPEN YOUR CHAT BUBBLE AND CONTRIBUTE THERE TO CHAT.
SO WE'LL HAVE YOU HOLD CONTINUE TO YOUR CHECK MARKS AND KENDRA WILL MOVE US THROUGH THIS ACTIVITY.
>> GREAT.
SO YOU'RE GOING TO PAUSE YOUR CHECK MARKS AND WE'RE GOING TO DO A QUICK INTERACTIVITY AND THINK
ABOUT THIS QUESTION BROADLY IN TERMS OF HEALTH, PROGRAMMING AND SERVICES BUT ARE YOU DOING ANY
HEALTH PROGRAMS OR SERVICES AT YOUR LIBRARY?
THIS COULD BE WORKING WITH YOUR HEALTH DEPARTMENT, CAN DIABETES MANAGEMENT, MAYBE A HEALTHY COOKING
CLASS, HEALTHY HABITS.
WE HAVE LOTS OF PEOPLE DOING THINGS.
IF YOU HAVE RESOURCES YOU'VE BEEN OFFER, PUT THAT IN THE CHAT.
WE WOULD LOVE TO SEE LINKS FOR ANY PROGRAMMING YOU'VE OFFERED.
BE FOR THOSE IN THE NOT YET CATEGORY, I HOPE THIS WILL SERVE AS INSPIRATION FOR YOU TO GET STARTED
GO AHEAD AND PAUSE YOUR CHECK MARKS.
WE'RE GOING TO GO ON TO THE NEXT SLIDE, AND THIS QUELL IS SPECIFIC ABOUT THE OPIOID RESPONSE.
ARE YOU DOING ANYTHING AT YOUR LIBRARY AROUND THE OPIOID RESPONSE?
ANY KIND OF TRAINING?
NALOXONE TRAINING?
GUEST SPEAKERS ABOUT RECOVERY OR EXPERIENCES WITH A LOVED ONE IN RECOVERY?
IT IS A LITTLE BIT MORE EVEN HERE.
WE'VE GOT IT, LOOKS LIKE WE HAVE MORE NOS ON THIS THAN YES, SIRS AND WE'RE HOPING YOU WILL HAVE
LOTS OF GREAT IDEAS AND I REALLY ENCOURAGE TO YOU CHECK OUT THE SUMMARY REPORT AND CASE STUDIES AND
IDEAS ON DIFFERENT WAYS YOUR LIBRARY MIGHT RESPOND.
ALL RIGHT.
KEEP GOING THROUGH HERE.
I'M GOING TO GIVE YOU SOME EXAMPLES OF PROGRAMS THAT HAVE BEEN HAPPENING IN LIBRARIES.
THIS IS FROM THE BARRINGTON PUBLIC LIBRARY THAT FOCUSES ON DIFFERENT ASPECTS OF PUBLIC HEALTH AND
THEY INCORPORATED SUBSTANCE USE DISORDER.
THIS WAS MADE POSSIBLE THROUGH PARTNERSHIPS WITH LOCAL NONPROFITS AND GRANTED FUNDING.
THIS IS A FLYER THEY HOSTED A COMMUNITY DISCUSSION WITH DREAMLAND, ABOUT THE OPIOID EPIDEMIC.
ANOTHER IS A FILM SCREENING OF INSIDE OUT, A PIXAR-ANIMATED FILM ABOUT FEELINGS AND HOW THEY CAN
SURFACE AND HOW CHALLENGING IT CAN BE TO NAVIGATE THOSE EMOTIONS.
IT IS A GREAT WAY TO BRING YOUNG PEOPLE TOGETHER TO TALK ABOUT EMOTIONS AND FEELINGS.
YOU CAN LEARN ABOUT EVERYTHING THEY'VE BEEN DOING IN THE CASE STUDY AND YOU WILL FIND LINKS IN THE
CHAT.
THIS CAMPAIGN IN SALT LAKE COUNTY WAS SOMETHING THAT WAS PUT TOGETHER BY THE HEALTH DEPARTMENT AND
LOCAL HEALTH CARE PROVIDER, INTERMOUNTAIN HEALTH CARE TAX HELP TAKE SOME OF THE FEAR AROUND THE
TOPIC AND REALLY CREATE A CONVERSATION.
SO THE LIBRARY HAS A LARGE DISPLAY RIGHT AT THE CHECK OUT DESK OF THE PUBLIC LIBRARY TO HELP
COMMUNITY MEMBERS RECOGNIZE WHAT AN OPIOID LOOKS LIKE AND INCREASED AWARENESS ABOUT POTENTIAL
HAZARDS.
A KEY MESSAGE IN THE CAMPAIGN IS TO ENCOURAGE PEOPLE TO TALK TO THEIR DOCTORS ABOUT ALTERNATIVES TO
OPIOIDS WHEN SEEKING A PAIN PREPARATION, INCLUDING USING OVER THE COUNTER MEDICATIONS, AS WELL.
SO IT IS JUST OPENING UP A CONVERSATION AND MAKING IT A LITTLE MORE ACCESSIBLE TO THE FOLKS.
ACCESS TO NALOXONE IS ANOTHER REALLY COMMON RESPONSE IN PUBLIC LIBRARIES, AND A LARGE SCALE
NATIONAL STUDY SHOWS THAT OPIOID OVERDOSE DEATHS DECREASED BY 14% IN STATES AFTER THEY ENACTS
NALOXONE ACCESS LAWS.
AND THAT'S A HUGE DECREASE.
AND WE'RE GOING TO GET TO HEAR FROM THE STAFF AT NEW ORLEANS PUBLIC LIBRARY ABOUT HOW THEY'VE BEEN
USING NALOXONE, HOW THEY CAME TO IMPLEMENT THAT PROGRAM.
IT IS COMMONLY CALLED NARCAN, THE BRAND NAME FOR THE DRUG, AND IT CAN HELP TO REVERSE AN OPIOID
OVERDOSE.
THIS IS A REALLY IMPORTANT STATISTIC BECAUSE THIS IS A LIFE-SAVING MEDICATION THAT MANY PEOPLE ARE
CARRYING AROUND, BOTH IN THE LIBRARY AND THE WORK PLACE, IN ADDITION TO EMERGENCY MEDICAL
PERSONNEL.
AND, SO, WITH THAT, I'MING IF TO TURN IT OVER TO SHEILA PREVOST AT THE NEW ORLEANS PUBLIC LIBRARY
TO SHARE A LITTLE BIT ABOUT THE PROGRAMMING THAT THEY'VE HAD IN NEW ORLEANS.
WELCOME, JESSICA.
>> THANK YOU.
I'M VERY EXCITED TO BE ABLE TO TALK ABOUT OUR PROGRAM.
BACK IN THE SUMMER HE HAVE 2017, I SAW AN ARTICLE ON THE NEW ABOUT THE FREE LIBRARY OF PHILADELPHIA
ADMINISTERING NARCAN TO SAVE LIVES, SO I KIND OF GOT A LITTLE INTERESTED.
RIGHT AROUND THE SAME TIME, I STARTED TO SEES OTHER LISTSERVS AND OTHER PROFESSIONAL VENUES ABOUT
LIBRARIES ADMINISTERING NALOXONE.
I WAS CURE USE, WAS THAT A PROBLEM HERE.
I REACHED OUT TO OUR HEALTH DEPARTMENT AND MEETING WITH THEM AND I WAS CONCERNED ABOUT THE
INVESTIGATION THEY SHARED, DEATHS FROM OVERDOSE OUT NUMBERED HOMICIDES IN THE CITY, AND NO IDEA
THAT THAT WAS GOING ON.
AND WHEN WE LOOK AT THE NATIONAL AVERAGES, OPIOID DEATHS PER YEAR PER 100,000 RESIDENTS, LOUISIANA
WAS ALREADY HIGHER THAN THE NATIONAL AVERAGE BUT NEW ORLEANS WAS OVER TWICE THE NATIONAL AVERAGE
NUMBER, BUT LOUISIANA WAS TWICE THAT NUMBER.
NEW ORLEANS WAS ALMOST THREE TIMES THAT NUMBER.
THAT WAS STAGGERING TO US, WE HAD NO IDEA.
WHEN WE REALIZED HOW SERIOUS IT WAS, WANTED TO SEE IF THERE WAS SOME WAY TO PLAY A ROLE, PROVIDE
CONNECTIONS TO RESOURCES, WHAT COULD WE DO, PAN WE ALSO REALIZED THAT WE TRAIN ON CPR, WE TRAIN ON
AED SO WHY WOULDN'T WE HAVE ANOTHER TOOL IN OUR TAL BOX TO HELP WHEN WE HAVE CUSTOMERS WHO COME
INTO THE LIBRARY, WHICH WE DID HAVE SOME EVIDENCE THERE WAS OCCASIONAL DRUG NEWS SOME OF OUR
LIBRARIES, WHEN I STARTED DISCUSSING IT WITH MANAGERS, I WAS VERY -- ONE OF THE MANAGERS SAID
SOMETHING THAT REALLY STUCK WITH ME THAT THEY HAD HAD A CO-WORKER WHO PASSED AWAY IN THE LIBRARY
THAT DAY, AND THEY HAD ALL BEEN TRAINED ON USING AED DEVICES BUT THEY DIDN'T HAVE ONE AND HOWL
MORABLE WAS TO GO HOME THAT DAY THINKING DO THEY HAVE SAVED THAT PERSON IF THEY HAD HAD THE TOOL
SAVE THEM.
AND I REALLY DIDN'T WANT TO HAVE ANY OF MY STAFF HAVE TO GO HOME WITH THAT THOUGHT EVER, IF
POSSIBLE.
COULD WE HAVE SAVED THEM SO THAT'S HOW WE CAME TO LOOK AT HAVING THE TRAINING.
SO THERE IS AN APPROVAL PROCESS, OBVIOUSLY, WE'RE GOING TO DO -- GIVE OUT NARCAN AT THE LIBRARY, SO
INITIALLY, LIKE I SAID, WE MET WITH THE MEDICAL DIRECTOR HE HAVE THE NEW ORLEANS HEALTH DEPARTMENT,
THAT WAS, AGAIN, VERY INFORMATIONAL.
WE HAD ALREADY READ SOME OF THE STATISTICS THEY HAD SHARED WITH US, BUT THERE THEY DEMONSTRATED
SOME OF THE DEVICES FOR DELIVERING NARCAN.
TURNS OUT, THEY WERE VERY EASY.
WE'RE NOT TALKING ABOUT NEEDLES OR ANYTHING, THESE ARE INHALERS.
AND WHAT IT WOULD TAKE TO TRAIN STAFF, AND WE LEARNED THEY WERE EAGER TO HAVE A PARTNER, WE ARE
A COMMUNITY HUB, LEGITIMATE PLACE FOR THEM TO GET THE WORD OUT AND IT LEGITIMIZED WHAT THEY WERE
TRYING TO DO.
PART OF THAT, HELPED FACILITATE US MEETING WITH OUR LAW DEPARTMENT SO WE COULD MAKE SURE GOOD
SAMARITAN LAWS WOULD COVER US.
WE WILL HEAR ABOUT THAT IN A MOMENT.
THEN WE NEEDED TO MAKE SURE OUR BOARD WOULD BE ON BOARD, THEY WOULD SUPPORT SOUSE WE DID HAVE THE
HEALTH DEPARTMENT MEDICAL DIRECTOR COME OVER AND DO A PRESENTATION.
TURNED OUT OUR BOARD WAS VERY ENTHUSIASTIC, AS LONG AS WE WERE COVERED LEGALLY THEY WERE VERY
ENTHUSIASTIC LETTING US PURSUE THIS.
SO WE LEARNED THAT WE COULD GET A STANDING TORNADO ALLOW OUR STAFF TO USE AND TO STORE NARCAN.
THE HEALTH DEPARTMENT DID THE TRAININGS WITH OUR STAFF ON A VOLUNTARY BASIS, MEANING WE DIDN'T
FORCE STAFF TO DO IT, IT WAS ONLY STAFF COMFORTABLE WITH THE PROCESS, WHAT WE FOUND AND MY
COLLEAGUE SHEILA PREVOST WILL TALK MORE ABOUT THE TRAINING.
AS WE FOUND, AS STAFF WERE TRAINED, MORE WAND WANTED TO BE TRAINED.
ONE OF THE THINGS I REALLY THINK IS INTERESTING IS OUR LIBRARY, THE NEW ORLEANS PUBLIC LIBRARY,
STAFF, WERE TRAINED TO USE NARCAN BEFORE THE NEW ORLEANS POLICE DEPARTMENT, SO I DON'T KNOW THAT
SAYS SOMETHING TO ME ABOUT THE IMPORTANCE OF LIBRARIES AND THE IMPACT WE MAKE ON LIVES SO FROM
HERE, I'M GOING TO TURN THE NEXT PAGE OVER TO SHEILA PREVOST.
>> GOOD AFTERNOON.
AS JESSICA MENTIONED, WE SOLICITED THE OPINION OF THE CITY ATTORNEY'S OFFICE BEFORE WE DECIDED TO
MOVE FORWARD WITH THIS PROJECT, AND THEY BASICALLY SAID THAT WE WERE FREE FROM CIVIL AND CRIMINAL
LIABILITY AS LONG AS WE WERE ACTING IN GOOD FAITH SO AS LONG AS WE'RE NOT GIVING ANYONE CPR WITH
OUR FOOT, OR SPRAYING NARCAN IN SOMEONE'S EYES ON PURPOSE, WE'RE COVERED BY THE GOOD SAMARITAN
LAWS, SO THE GOOD SAMARITAN LAWS ARE IN PLACE TO PROTECT US.
THAT IS ONE OF THE COMMON CONCERNS OR QUESTIONS A LOT OF STAFF ASKED, YOU KNOW, THEY WERE CONCERNED
THEY WOULD BE LIABLE IF SOMEBODY DIED OR WERE INJURED WHILE THEY WERE TRYING TO SAVE THEIR LIFE.
AS I MENTIONED, WE'RE COVERED BY THE GOOD SAMARITAN LAWS, SO IF WE'RE NOT NEGLIGENT, THERE'S NO
CIVIL OR CRIMINAL LIABILITY ON US.
AND THE LAW DEPARTMENT ALSO SAID, BEFORE WE CAN MOVE FORWARD, WE NEEDED TO RECEIVE TRAINING FROM
THE MEDICAL DIRECTOR OR THEIR STAR, AND THE MEDICAL DIRECT HER TO ISSUE A STANDING ORDER WHICH IS
ONLY GOOD FOR ONE YEAR, SO EVERY OCTOBER I HAVE TO REACH OUT TO THE HEALTH DEPARTMENT AND HAVE THE
NEW DIRECTOR SIGN ANOTHER STANDING ORDER FOR US TO STORE AND ADMINISTER NARCAN.
AND, OF COURSE, WE CAN'T CHARGE FEE TO A PATRON IF WE ADMINISTER NARCAN TO THEM.
SO FAR, WE OFFER STAFF TRAININGS PERIODICALLY THROUGHOUT THE ENGINEER NEW HIRES HAVE AN OPPORTUNITY
RECEIVE TRAINING OR ANY OTHER STAFF THAT MAY HAVE CHANGED THEIR MIND ABOUT ATTENDING THE TRAINING.
AND THE TRAININGS, THEY NOT ONLY INCLUDE NARCAN TRAINING BUT WE DO HANDS ONLY CPR AND STOP BLEEDING
AND AED TRAININGS, AS WELL, WITH THE STAFF.
SINCE 2017, THE HEALTH DEPARTMENT AND NEW ORLEANS EMS HAVE HELD 15 TRAININGINGS FOR OUR STAFF.
AS JESSICA MENTIONED, ATTENDANCE ON A VOLUNTARY BASIS, WE DON'T REQUIRE STAFF TO AFEND THEY DON'T
WANT TO BECAUSE NOT EVERYONE IS COMFORTABLE ADMINISTERING CPR OR NARCAN.
SO FAR, APPROXIMATELY 68% OF OUR PUBLIC SERVICES STAFF HAVE BEEN TRAINED, WHICH IS LIKE 119
MEMBERS, STAFF MEMBERS, OVER ALL 15 LOCATIONS.
TRAINED TO ADMINISTER NARCAN.
AND, ALSOS, THE HEALTH DEPARTMENT IN PARTNERSHIP WITH THE MEDICAL CORPS, OFFER RESPONSE TRAININGS
FOR THE PUBLIC AT LEAST ONCE A MONTH AT OUR LIBRARIES.
MY UNDERSTAND, THE RESPONSE TRAININGS INCLUDE NARCAN TRAINING, HANDS-ONLY CPR AND STOP BLEEDING.
SO FAR WE'VE HAD 213 ATTENDEES FROM THE PUBLIC ATTEND THE TRAININGS.
BY OFFERING ALL THREE TRAININGS TOGETHER, IT KIND OF REDUCES THE STIGMA ASSOCIATE WITH THE OPIOID
PORTION OF THE TRAIN AND PEOPLE ARE MORE LIKELY TO ATTEND IF THEY KNOW THEY'RE GOING TO LEARN HOW
TO DO CPR OR USE AN AED.
THE TRAINING IS MORE OF HOW TO RESPOND TO A CRISIS RATHER THAT JUST HOW TO RESPOND TO AN OPIOID
OVERDOSE.
THE NARCAN COSTS APPROXIMATELY $69 PER DOSE AND ITS 2-MILLILITERS PER DOSE, AND WE'VE SPENT A
ONE-TIME INVESTMENT OF OCTOBER OF 2017 FOR APPROXIMATELY 35 DOSES, AND I SAY ONE TIME INVESTMENT
BECAUSE, IF WE USE A DOSE, WHEN NEW ORLEANS EMS COMES OUT TO PICK UPPING THE PATRON, THEY'RE GOING
TO REPLACE THE DOSE THAT WE USE.
ALSO, NARCAN HAS A SHELF LIFE OF TWO YEARS SO NEW ORLEANS EMS WILL SWAP OUT OUR SUPPLY SIX MONTHS
BEFORE IT EXPIRES.
SO WE ALSO HAVE A TOTAL OF PROBABLY 66 DOSES, WE HAVE 8 DOSE AT THE MAIN LIBRARY, TWO ON EACH OF
THE OUTREACH VEHICLES, FOUR DOSES AT EACH OF THE OTHER 14 LIBRARY LOCATION AND I HAVE A DOSE IN MY
OFFICE IN CASE WE NEED TO USE IT.
AND, IN CONNECTION, THE NEW ORLEANS HEALTH DEPARTMENT HAS ALSO BEEN GIVING US SHARPS CONTAINERS,
BECAUSE WE OFTEN FIND NEEDLES OUT ON THE LAWN OR IN THE BATHROOMS OR IN THE TRASH CANS.
I EVEN FOUND A NEEDLE IN A BOOK ONE TIME THAT WAS ALREADY SHELFED ON THE BOOK SHELF IN THE LIBRARY
SO THEY'VE BEEN GIVING US SHARPS CONTAINERS.
SO FAR, WE HAVE NINE SHARPS CONTAINERS AT FIVE DIFFERENT LIBRARY LOCATIONS.
>> THANK YOU, SHEILA.
ONE OF THE QUESTIONS THAT CAME THROUGH WAS ABOUT HOW OFTEN DO YOU OFFER THE STAFF TRAININGS FOR
EVERYONE.
DO THOSE HAVE A REGULAR SCHEDULE?
>> IT IS NOT A REGULAR SCHEDULE, PER SE.
USUALLY, WHEN I SEE A WAVE OF NEW PEOPLE COMING THROUGH, THEN WE'LL OFFER IT.
I WILL HAVE THE HEALTH DEPARTMENT COME AND THEY OFFER THREE SESSIONS THAT WEEK, YOU KNOW, TO GIVE
ALL THE STAFF AN OPPORTUNITY TO ATTEND.
>> YOU GUYS HAVE A GREAT RELATIONSHIP, AND I KNOW THAT YOU'RE ALL --
>> WE REALLY DO.
AND SO I'LL SAY MAYBE EVERY SIX MONTHS.
YOU KNOW, I MAY ASK THEM TO COME OVER TO TRAIN THE STAFF, BUT WE COULD DO IT AT LEAST ONCE A MONTH
FOR THE PUBLIC.
>> BYSTANDER TRAINING IS OFFERED THROUGHOUT THE PARRISH AND OTHER LOCATIONS, RIGHT?
>> CORRECT.
>> I WANT TO SAY, I AGREE WITH OUR RELATIONSHIP WITH OUR HEALTH DEPARTMENT, I ENCOURAGE ANYONE AT
YOUR LIBRARIES IF YOU HAVEN'T ESTABLISHED THAT TRIP REACH OUT.
ONCE YOU POINT OUT HOW MANY PEOPLE YOU SEE AND YOU CAN GET TO ALL THE NEIGHBORHOODS IN YOUR
COMMUNITIES THEY'RE GOING TO SEE JUST WHAT A VALUABLE RESOURCE YOU CAN BE NOT JUST FOR THIS TYPE OF
THING BUT ALL THE TYPE OF THINGS THEY WORK WITH.
NOW WE'RE INTO DOING BLOOD PRESSURE CHECKS WITH THE MATERNAL FEAL HEALTH AND THINGS HAD -- FETAL
HEALTH, AND THINGS LIKE THAT.
THERE IS AN AMAZING AMOUNT OF THINGS YOU CAN DO IN COOPERATION WITH THE HEALTH DEPARTMENT.
>> SHEILA MENTIONED THEY'RE WORKING WITH THEIR LOCAL EMERGENCY MEDICAL SERVICES TO KEEP THEIR
NALOXONE  UP-TO-DATE.
IF YOUR LIBRARY IS INTERESTED IN HAVING NALOXONE, THE MAKERS OF NARCAN ARE MAKING TWO DOSES
AVAILABLE FREE TO PUBLIC LIBRARIES AND YOU CAN LEARN ABOUT THE TRAINING PROGRAM AND HOW TO MAKE
THAT REQUEST.
WE WILL PUT THE FLING CHAT.
IT IS A PROGRAM AVAILABLE TO HIGH SCHOOLS, HIGHER EDUCATION AND YMCA.
IT IS A PRETTY BROAD PROGRAM AND THEY SAW THE IMMORE TAX OF MAKING IT AVAILABLE TO LIBRARIES.
WE KNOW THERE IS ALSO SOME STIGMA ATTACHED TO HAVING NALOXONE AND I THOUGHT IT WAS IMPORTANT TO
SHARE THIS QUOTE FROM SOME RESEARCH, AND THAT'S THAT LAWS DESIGNED TO INCREASE LAYPERSON ENGAGEMENT
IN OPIOID OVER DOSE REVERSAL WERE ASSOCIATED WITH REDUCED DEATHS.
WE FOUND NO EVIDENCE THAT THESE MEASURES WERE ASSOCIATED WITH INCREASED NON-MEDICAL OPIOID USE SO
BY HAVING NARCAN, YOU ARE 55 NOT GOING TO ENCOURAGE PEOPLE TO OVERDOSE, IT IS JUST THE OPPORTUNITY
TO SAVE A LIFE.
SO IT IS WORTH CONSIDERING AND LOOKING AT IT AS AN OPTION FOR YOUR LIBRARY.
OUR NEXT PRESENTER IS TRAMAINE EL-AMIN FROM THE NATIONAL COUNCIL FOR BEHAVIORAL HEALTH AND SHE IS
GOING TO TALK ABOUT A GREAT PROGRAM UTILIZE Ph.D. MANY LIBRARIES AND THAT IS THE MENTAL HEALTH
FIRSTED A ACT.
WELCOME.
>> THANK YOU FOR HAVING ME.
SO GLAD TO CONNECT WITH EVERYONE TODAY.
REALLY EXCITESSED ABOUT MENTAL HEALTH FIRST AID AND SPECIFICALLY OUR LIBRARIES.
ONE OF MY FAVORITE BOOKS WHEN I WAS YOUNGER IS "HONEY I LOVE" 245-6789 IS A BOOK OF POEMS AND I GOT
IT FROM MY LOCAL LIBRARY HAVE IT ON MY SHIFT TO THIS DAYS IT TRAVELED THROUGH MANY STATES AND
TERRITORIESES WITH ME.
I MENTION THAT UNDER SCORED MY ACKNOWLEDGMENT AND OUR ACKNOWLEDGMENT HERE AT THE NATIONAL COUNCIL
THE IMPORTANCE OF THE WORK YOU DO WE THANK YOU FOR BEING PUBLICKER IS VIABILITIES AND BEING THAT
SAFE PLACE, SAFE HAVEN WHERE PEOPLE CAN COME TO NURSE THAN SOULS WITH THE WORDS THAT ARE ON PAGES
AND NOURISH THEIR MINDS IN OPPORTUNITIES TO HAVE CONVERSATION AND TO GET INFORMATION THAT COULD
JUST SAVE A LIFE.
WE ARE CREATIVELY LOOKING FORWARD TO EXPANDING MENTAL HEALTH FIRST AID THROUGHOUT LIBRARIES AND
LOOKING FOR OPPORTUNITIES FOR ON GOING DIALOGUE ALL OF YOU SO INVITE YOU TO REACH OUT TO US
DIRECTLY.
THE NATIONAL COUNCIL FOR BEHAVIORAL HEALTH AN ORGANIZATION THAT PROVIDES POLICY AND TECHNICAL
ASSISTANCE DIRECTION TO THE COUNTRY TORQUES EVERY STATE AROUND MENTAL ILLNESS AND SUBSTANCE USE.
SO WE'VE BEEN AROUND FOR ABOUT 50 YEARS PROVIDING LIFE-SAVING INFORMATION WHEN IT COMES TO MENTAL
HEALTH FIRST AID BUT EVEN BEYOND THAT, WE KNOW THAT WHEN PEOPLE RECEIVE SERVICES, IT IS IMPORTANT
FOR THEM TO UNDERSTAND EXACTLY WHAT THEY'RE RECEIVING, EXACTLY UNDERSTAND HOW TO ACCESS THOSE
SERVICES AND WE KNOW THAT SERVICES FOR MENTAL HEALTH ARE NOT AS ROBUST AS WE WOULD LIKE, SO UNTIL
THAT TIME, WHERE WE HAVE IMMEDIATE ACCESS FOR EVERYONE, WE KNOW THAT THERE IS A NEED FOR EDUCATION
ON WHAT YOU CAN DO IN THE MEANTIME.
SO WHAT WE'VE SEEN MENTAL HEALTH FIRST AID AS IS AN OPPORTUNITY REALLY UNDERSTAND WHAT YOU CAN DO
TO SUPPORT THOSE THAT ARE IN YOUR COMMUNITIES AND FOR YOU, YOUR PATRONS AT THE LIKE RARE.
NATIONALLY, OVER THE LAST SERVE YEARS, WE'VE TRAINED MORE THAN 2 MILLION INDIVIDUALS TO RECOGNIZE
THOSE EARLY SIGNS AND SYMPTOMS, AND KNOW WHAT TO DO AND FEEL COMFORTABLE DOING.
IT WE HAVE 18,000 INSTRUCTORS IN EVERY STATE ACROSS THE COUNTRY, AND PLEASE, PLEASE, PLEASE FEEL
BAD FOR ME BECAUSE I WENT TO HAWAII AND VOLUNTEERED AS TRIBUTE TO MAKE SURE THAT THEY GOT THE
TRAINING, SO I KNOW YOU FEEL SO TERRIBLE FOR ME, BUT IT'S OKAY.
WE'RE REALLY EXCITED ABOUT THAT WORK AND EXCITED ABOUT GROWING MENTAL HEALTH FIRST AID FROM THEIR
GUAM AND BEYOND, SO THERE'S PLENTY OF PLACES THAT HAVE TAKEN MENTAL HEALTH FIRST AID TRAINING AND
HAD INSPECTORS IN YOUR BACKYARD.
IT IS IN MORE THAN 23 COUNTRIES AROUND THE WORLD AND GLOBALLY THERE IS MORE THAN 3 MILLION
INDIVIDUALS TRAINED IN MENTAL HEALTH FIRST AID.
IT IS AN OPPORTUNITY FOR US TO REALLY EDUCATE INDIVIDUALS ON WHAT TO DO WHEN, WHEN IT COMES TO
RECOGNITION OF THOSE SIGNS AND SYMPTOMS.
MENTAL HEALTH FIRST AID IS GOVERNED OR ADMINISTERED BY THE NATIONAL COUNCIL FOR BEHAVIORAL HEALTH
AND WE HAVE 3,000 MEMBER ORGANIZATIONS THAT PROVIDE MENTAL HEALTH AND SUBSTANCE USE TREATMENT
SERVICES, SO MORE THAN 10 MILLION ADULTS, CHILDREN AND FAMILIES WHO ARE IN EVERY STATE.
AND, SO WE WERE INSTRUMENTAL IN BRINGING MENTAL HEALTH FIRST AID TO THE U.S. IN 2008 AND ARE
EXCITED PRESIDENT GROWTH THAT HAS HAPPENED SINCE THEN.
WHAT WE KNOW IS THAT NOT ONLY IS THIS AN EVIDENCE-BASED PRACTICE, WE'VE DONE RANDOMIZED CONTROL
STUDIED NOT ONLY IN THE U.S. BULL GLOBALLY WHICH FOUND THAT MENTAL HEARD FIRST SAID EFFECTIVE AT
PROVOKING CHANGES IN ATTITUDES, INCREASING MENTAL HEALTH KNOWLEDGE BUT IT IS THE DECREASE IN SOCIAL
DISTANCE, WHICH IS STIGMA THAT KENDRA HAS SPOKEN TO EARLIER TODAY.
REALLY, MENTAL HEALTH FIRST AID IS NOT WHAT YOU WILL DO WHEN YOU ARE A PRACTITIONER BUT IT IS FOR
THE LAYPERSON SO WE'RE EXCITED FOR THAT GROWTH.
NOW THAT BE, SAID, I'M SURE THAT SOME OF YOU, SOMEONE, HAS HEARD OF MENTAL HEALTH FIRST AID BEFORE
AND I WOULD LIKE TO JUST GET SOME INTERACTIVITY.
YOU CAN USE THE CHAT BOX JUST TO LET ME KNOW WHAT IS THE LEVEL OF MENTAL HEALTH FIRST AID ACTIVITY
IN YOUR SPECIFIC LIBRARY AREA.
DO YOU HAVE INSTRUCTORS AT YOUR LIBRARY?
YOU CAN SELECT A AND PUT THAT IN YOUR CHAT BOX.
YOU CAN PUT B, NO INSTRUCTORS ARE IN OUR LIBRARY SYSTEM BUT COURSES ARE AVAILABLE.
OR, IF IT IS C, NO MENTAL HEALTH FIRST AID CURRENTLY AT OUR LIBRARY SYSTEM ALL TOGETHER, OR D, I'M
UNSURE UM YOU CAN FEEL FREE TO TYPE THAT RIGHT INTO THE CHAT AND WE WILL SEE WHERE WE LAND SO
THERE'S PLENTY OF THESE, A LOT OF FOLKS UNSURE, SOME Cs MOSTLY, D IS THE MOST COMMON ANSWER SO
FAR.
DEFINITELY SOME FOLKS ARE NOT SURE ABOUT IT IN THEIR LIBRARY SYSTEM.
A, I LOVE IT, SOME FOLKS ARE DOING THE TRAINING NOW.
KING COUNTY, WASHINGTON IS IN THE HOUSE.
HELLO TO YOU, YOU HAVE A VERY ROBUST PROGRAM IN KING COUNTY AND THANK YOU FOR BEING AN INSTRUCTOR,
REALLY EXCITED ABOUT THAT SO IT LOOKS LIKE MANY OF YOU AREN'T AWARE OR ARE NOT AWARE OF IT IN YOUR
SYSTEMS SPECIFICALLY, SO THAT IS REALLY HELPFUL TO KNOW.
EVERY MOVE FORWARD, I'LL CALL IN SOME OF THE MENTAL HEALTH FAMILIES SO IT IS NOT JUST ME TALKING AT
YOU, I WANT THIS TO BE A DIALOGUE.
ONE OF THE THICKS WE KNOW IS NATIONALLY THERE'S ALL KINDS OF WAYS THAT MENTAL HEALTH FIRST AID IS
FUNDED AND I'LL TALK ABOUT THAT LATER.
BASICALLY, WHERE MENTAL HEALTH FIRST AID FITS IS IN THE EARLY INTERVENTION, AND PREVENTION KIND OF
AREA SO IT IS NOT -- IF YOU THINK ABOUT THE SPECTRUM OF MENTAL HEALTH INTERVENTIONS THAT COULD GO
FROM AN AWARENESS BUILDING ALL THE WAY THROUGH TREATMENT AND RECOVERY IT FITS IN THE PREVENTION AND
EARLY INTERVENTION SPACE SO IT IS HELPING PEOPLE RECOGNIZE WHAT TO DO WHEN BUT NOT FOR THOSE -- NOT
ONLY FOR THE CRISIS SITUATIONS BUT ALSO FOR THE NONCRISIS, THE DAY-TO-DAY.
MAYBE A PATRON IS COMING IN AND IT IS EXPERIENCING SOME CHALLENGES AND VISIBLY UPSET.
HOW DO YOU DEESCALATE, HOW DO YOU TALK THEM THROUGH WHAT THEY'RE EXPERIENCING.
ANOTHER PATRON MIGHT BE DISRUPTIVE AND EXPERIENCING PSYCHOSIS.
HOW DO YOU DETERMINE WHAT THEY'RE EXPERIENCING AND THE BEST WAY TO MOVE FORWARD AND SUPPORT THAT
PERSON.
WHAT WE DO IN MENTAL HEALTH FIRST AID IS NOT GIVE YOU A LICENSE TO RENT SPACE, SET ON A NICE COUCH
AND CHARGE BILLABLE HOURS FOR YOUR SUPPORT TO LISTEN FOR PEOPLE TO TALK ABOUT THEMSELVES BUT IT IS
AN OPPORTUNITY FOR YOU TO FEEL COMFORTABLE AND HAVE THE SPECIFIC SKILLS TO INTERVENE IN A CRISIS
AND NON-CRISIS SITUATION.
IT WE'RE NOT JUST WITH DIAGNOSIS, IT IS ABOUT RECOGNIZING WHAT THE SIGNS AND SYMPTOMS ARE AND HOW
WE MIGHT SUPPORT SOMEONE UNTIL THE RIGHT HELP ARRIVES.
WHY IS THIS IMPORTANT TO LIBRARIES?
AS HAS BEEN STATED, YOU ARE SERVING AS THAT STATE PLACE, THE GATHERING PLACE, THE WATERING HOLE FOR
THE COMMUNITY.
YOU ARE TRUSTS TO PROVIDE RESOURCES THAT REALLY WORK AND THAT MATTER, IN ADDITION YOU'RE CONNECTING
THE DOTS BETWEEN COMMUNITY ORGANIZATIONS, RESOURCES THAT ARE AVAILABLE THROUGH OTHERS, AND IT
REALLY RESONATES WITH THE AIM OF MENTAL HEALTH FIRST AID WHICH IS MEANT TO BE VERY ACCESSIBLE,
MEANT TO BE VERY ENTRY SHORT FALL PEOPLE FEEL SUPPORTED AND WE'RE DECREASING THE STIGMA THAT EXISTS
WITH THESE SUBJECTS.
WHAT WE KNOW, NATIONALLY MORE THAN 1300 LIBRARIES HAVE IMPLEMENTED MENTAL HEALTH FIRST AID TRAINING
IN SOME WAY AND ENTERED THAT DATA INTO OUR SYSTEMS AND MORE THAN 30,000 PARTICIPANTS HAVE BEEN
TRAINED SPECIFICALLY IN LIBRARY SETTINGS 26789 IS PROBABLY MORE THAN THAT, IT IS JUST HOW THE DATA
IS ENTERED DEPENDS ON THE PERSON WHO IS DOING THE ENTRY, SO WE KNOW THAT CALIFORNIA AND NEW YORK
RIGHT NOW ARE -- CALIFORNIA AND NEW YORK RIGHT NOW ARE LEADING THE NATION WITH THE MOST NUMBER OF
LIBRARIES TRAINED IN MENTAL HEALTH FIRST AID SO WE'RE REALLY EXCITED ABOUT THAT GROWTH.
THERE'S BEEN SOME SPECIFIC THINGS THAT HAVE HAPPENED THAT I THINK HELPED TO SPUR THIS GROWTH
NATIONALLY AND WHAT WE KNOW IS THAT, IN THE PIONEER LIBRARY SYSTEM, THEY'VE TRAINED SINCE 2016 MORE
THAN 80 LIBRARIANS IN THE ROCHESTER REGION OF NEW YORK, AND ALSO, AS POPULARITY GREW, THE NEW YORK
LIBRARY ASSOCIATION SAW THE VALUE OF THE TRAINING AND THEY WERE INTERESTED IN HOSTING MENTAL HEALTH
FIRST AID AT THEIR CONFERENCE.
WHAT WE ALSO KNOW IS THAT THE CHAIR OF THE NEW YORK LIBRARY ASSOCIATION'S CONTINUING EDUCATION
COMMITTEE DECIDED TO OFFER MENTAL HEALTH FIRST AID AS A PRECOMPREHENSIVE CE WORKSHOP AND THEY'VE
TRAINED 30 PARTIES PACTS AT THEIR ANNUAL CONFERENCE SO WE SEE THAT NEW YORK HAS MULTIPLE TOUCH
POINTS.
IN ADDITION, IT IS BOLSTERED BY THE FACT THAT THE CITY, NEW YORK CITY SPECIFICALLY, HAS AN "I
THRIVE" INITIATIVE TO TRAIN 250,000 INDIVIDUALS IN NEW YORK CITY, SPECIFICALLY, IN MENTAL HEALTH
FIRST AID.
AND PART OF THAT IS HAPPENING AT LIBRARIES ACROSS THE CITY.
ANOTHER EXAMPLE IS THE NATIONAL NETWORK OF LIBRARIES AND MEDICINE IS AWARDED FUNDING, THEY'VE GIVEN
SUPPORT TO TWO STATES IN THE PAST.
THEY'VE FOCUSED ON NEW YORK AND NEW JERSEY, IMPLEMENTING TRAINING FOR MORE THAN 1500 LIKE I CAN'T
REMEMBER RARIANS, I'M SORRY, 1400 LIBRARIANS AND MAKING SURE THE TRAININGS ARE ON GOING AND ADDING
THAT SUSTAINABILITY BY GIVING OPPORTUNITY FOR TRAINING FOR IP INSTRUCTORS, AS WELL THAT'S WHAT
WE'VE SEEN NATIONALLY TRAINING INSTRUCTORS TO RECOGNIZE IT IN THEMSELVES AND TRAIN OTHERS IN THE
COMMUNITY AND BUILD THAT OPPORTUNITY IN, BAKE IT INTO THEIR SUSTAINABILITY PLANNING FOR PARTNERS
AND LOCAL INSTRUCTORS, AS WELL.
WHAT I WILL SAY IS WE KNOW THAT EVERY SPECIFIC AREA COULD BENEFIT FROM OR EVERY AREA OF OUR
POPULATION COULD BENEFIT FOR MENTAL HEALTH FIRST AID BUT WE WANT TO TO BE RELEVANT BUT CREATING
SCENARIOS AND CON HASN'T IS SPECIFIC TO THE NEEDS IN THE AREAS.
WE'VE BEEN WORKING THROUGHOUT THE YEARS TO CREATE MENTAL HEALTH FIRST AID FOR PARTICULAR LANGUAGE
NEEDS AS WELL AS SPECIFIC POPULATIONS AND SECONDS THAT HAVE HIGHER RATES OF PREVALENCE ORB EVEN
WHETHER IT COMES TO SUICIDE.
IT DOESN'T JUST TALK ABOUT SUICIDE ITSELF OR THE OPIOID CRISIS BY ITSELF OR HOW TO ADMINISTER
NARCAN, IT IS A KIND OF GREAT OPPORTUNITY ROLL UP ALL OF THOSE SUBJECTS INTO ONE DELIVERY
MECHANISM, UNDERSTANDING THE FULL SPECTRUM OF WHY ANYONE MEET EXPERIENCE ANY OF THESE CHALLENGES IN
LIFE.
THE CREDIT CARD LA IS AVAILABLE IN -- THE CURRICULA IS AVAILABLE IN ENGLISH AND SPANISH, WE PROVIDE
TRAINING FOR ADULTS THAT WORK WITH YOUTH, TRAINING FOR ADULTS THEMSELVES AS A PEER TO PEER, 18 AND
OVER TRAINING, AND WE'RE SO EXCITED TO RELEASE THIS YEAR, THIS UPCOMING CALENDAR YEAR, TEEN MENTAL
HEALTH FIRST AID, MORE BROADLY, AND I WILL TALK ABOUT THAT LATER, A PEER TO PEER MODEL FOR YOUNG
PEOPLE TO YOUNG PEOPLE, HELPING THEM CONNECT TO A TRUSTED ADULT.
WE KNOW STATISTICALLY, MANY YOUNG PEOPLE WE INTERACTIVE WITH, ESPECIALLY PATRONS IN OUR LIBRARIES
THAT ONE TRUSTED ADULT COME SOMEONE AT THE LIBRARY THAT MAKES ALL THE DIFFERENT IN DEVELOPMENT AND
CAN STATISTICALLY WERKE SEE THAT AS AN IMPACT.
WHAT WE ALSO KNOW IS THAT HIGHER EDUCATION, LAW ENFORCEMENT, MILITARY MEMBERS, VETERANS AND THEIR
FAMILIES, OLDER ADULTS, FIRE AND EMS AND RURAL COMMUNITIES ALSO BENEFIT FROM SPECIFIC AND TARGETED
CONTENT.
LAST THING I'LL SAY ABOUT THAT IS OPIOID RESPONSE SUPPLEMENT IS SOMETHING WE'VE ADDED TO EVERY
SINGLE ONE OF THESE AREAS AND WE WILL SEE THAT LATER ON TODAY.
EARLIER, I MENTIONED THAT SPECTRUM OF WHERE MENTAL HEALTH FIRST AID CAN HELP.
NECESSARY THAT SWEET SPOT WHERE THE SQUARE THAT THE YELLOW IS, PREVENTION, EARLY INTERVENTION AND
TREATMENT, THAT EARLY INTERVENTION AND PREVENTION AND INTRODUCING SOMEONE TO TREATMENT IS WHERE THE
CONTENT REALLY FOCUSES.
AND THEN, FROM A CURRICULA STANDPOINT THERE'S RISK FACTORS AND WARNING SIGNS WE FOCUS ON.
WE GET INFORMATION ALL OF THESE AREAS, ANXIETY, DEPRESSION, TRAUMA, SUBSTANCE USE AND WE GET THE
INTRODUCTION USING THE RIGHT LANGUAGE AS WAY MENTIONED EARLIER, THE FIVE-STEP ACTION PLAN, LIKE YOU
NEWS FIRST AID AND CPR.
IF YOU REMEMBER, DO YOU REMEMBER THAT CPR AND FIRST AID TEACHES YOU THE ABCs OF CPR.
QUOTE SAME THINGS BUT WITH ALGAE, WHICH I'LL TALK ABOUT IN MOMENT.
SO, WHEN WE TALK ABOUT MENTAL HEALTH FIRST AID, I WOULD LIKE TO HELP YOU UNDERSTAND A LITTLE BIT
ABOUT WHEN MENTAL ILLNESS TYPICALLY HAS AN ON SET FOR FOLKS, IN SPECIFIC AREAS WHEN IT COMES TO
ANXIETY DISORDER, WHAT DO YOU THINK THE ON SET IS, DO YOU THINK IS BETWEEN 8-12, TYPE A IN THE CHAT
BOX.
13-17, CHOOSE B.
18-24, CHOOSE C.
AND 25-35, CHOOSE D.
REMEMBER, MEDIAN IS THAT LITTLE NUMBER WHERE 50% MIGHT BE DIAGNOSED BEFORE AND 50% MIGHT BE
DIAGNOSED AFTER.
WE'RE SEEING LOTS OF Bs, AND I WOULD LIKE TO ASK THE SAME QUESTION, KEEP THAT UNDERSTANDING
FOR THE MOMENT, WE WILL PUT A PAUSE, A FEATHER IN OUR CAP RIGHT THERE, AND THEN LET'S ASK THE SAME
QUESTION WHEN IT COMES TO DEPRESSION.
WHAT DO YOU THINK, A, B, C OR D.
A, 8-12, B13-17, C18-24 AND D25-35 FORK DEPRESSION.
LOTS OF Cs I'M SEEING.
ALL RIGHT.
WE ARE ARREST ALL OVER THE MAP.
BLOCK -- WE'RE ALL OVER THE MAP.
LOOK AT THIS, ANXIETY DISORDERS, 11 YEARS OLD.
DEPRESSION, 32.
NOT MANY CHOSE D AS THE RESPONSE WHY DO YOU THINK THAT IS?
WELL, FOR ANXIETY DISORDERS, THINK ABOUT THE CHANGES IN OUR SOCIETY, OUR CONNECTIVITY, SOCIAL
MEDIA, TESTING WITHIN SCHOOLS SO MANY THINGS HAVE HAPPENED AND DEVELOPMENTS HAVE HAPPENED OVER THE
LAST FEW YEARS THAT HAVE CAUSED THOSE INCREASES, MORE YOUNG PEOPLE BEING DIAGNOSED WITH ANXIETY
DISORDERS EARLIER.
IN ADDITION, FROM THE PERSPECTIVE OF DEPRESSION, INDIVIDUALS WHO ARE RETIRING, WHO ARE, FOR THE
FIRST TIME, DEALING WITH GRIEF AND LOSS MAYBE, AT OLDER IN LIFE, MAKE THOSE NUMBERS TREND UP IN
TERMS OF WHERE THE MEDIAN LIES.
IT DOESN'T MEAN PEOPLE ARE DIAGNOSED BEFORE OR AFTER THIS PARTICULAR AGE IT, JUST MEANS THIS IS THE
MEDIAN AGE OF ON SET.
THE MOST IMPORTANT PIECE OF IT, THOUGH, IS THAT HALF OF ALL LIFETIME CASES OF MENTAL ILLNESS, WE
HAVE A TREMENDOUS OPPORTUNITY FOR THE YOUNG PATRONS IN OUR LIBRARIES TO BE AWARE, FOR ADULTS AROUND
THEM, TO BE AWARE OF WHAT THEY MIGHT SEE WHAT PEOPLE MIGHT BE EXPERIENCING AND HOW CRITICALLY
IMPORTANT IT IS FOR THEM TO BE OKAY WITH NOT BEING OKAY AND TALKING ABOUT IT.
I MENTIONED EARLIER THE ABCs OF CPR.
THIS IS OUR VERSION OF THE ABCs.
IT SOUNDS LIKE POND SCUM BUT IT REALLY IS ALGAE IS OUR KNEW MONDAY I CAN.
IT MEANS WE ASSESS, WE LISTEN WITHOUT JUDGMENT, SUSPEND JUDGMENT, TEACH PEOPLE HOW TO GIVE
REASSURANCE AND INFORMATION.
WE TEACH PEOPLE WHAT TO LOOK FOR WHAT THEY MIGHT SEE AND FEEL.
UNDERSTANDING IRRITABILITY COULD BE A SIGN OF DEPRESSION.
UNDERSTANDING WHAT PEOPLE CAN DO WHEN IT COMES TO HOPELESSNESS AND HELPLESSNESS, WHAT THOSE
STATEMENTS MIGHT SOUND LIKE BECAUSE IT CAN LEAD TO THOUGHTS OF DEATH AND SUICIDE, AND SUICIDE
SOMETHING WE DO FOCUS ON WITHIN THE PROGRAM.
WE TEACH PEOPLE TO RECOGNIZE THE SIGNS AND SYMPTOMS BUT ALSO WHAT TO DO IN CRISIS SITUATIONS.
ONE OF THE CRISES WE COVER IS THE OPIOID RESPONSE.
WE SHOW PEOPLE HOW TO ADMINISTER NARCAN, WE SHOW THEM INFORMATION, WE GIVE THEM INFORMATION WHAT IT
MEET LOOK LIKE, AND WE INTEGRATED THIS FULL OPEN YESTERDAY RESPONSE SUPPLEMENT PREVIOUSLY WE CREATE
INTO THE FULL CONTENT FOR OUR ADULT AND YOUTH COURSE AND THAT IS SOMETHING WE'RE UPDATING THIS YEAR
WHETHER IT COMES TO SIGNS AND SYMPTOMS OF AND A AND OVERDOSE WE SHOW PEOPLE THE SIGNS AND SYMPTOMS
OF PEOPLE APPEARING INTOXICATED OR THE SYMPTOMS OF OVERDOSE AND WHAT COULD BE A CRISIS SITUATION.
SO THE DIFFERENT BETWEEN LOOKING -- DIFFERENCE BETWEEN LOOKING SLEEPY AND NODDING OR NONRESPONSIVE
OR DID YOU RECALLING, SOMETHING THAT IS A HUGE OPPORTUNITY FOR -- OR GURGLING, SOMETHING THAT IS A
HUGE OPPORTUNITY TO FOCUS ON BECAUSE IT COULD LEAD IT OVERDOSE AND DEATH.
WE WORK ON TEACHING THOSE SIGNS.
I WANT TO UNDER SCORE ALL OF THE CONTENT WE CREATEREALLY FOCUSED ON RESEARCH OR DEMONSTRATED BY
RESEARCH AND OUR FOCUS FOR INDIVIDUALS IS TO MAKE SURE THAT GAINING INFORMATION BUT LAST WE REDUCE
THAT SOCIAL DISTANCE.
TOO OFTEN WE ARE AFRAID TO ASK PEOPLE, ARE YOU OKAY?
WE DON'T KNOW IF WHAT WE'RE DOING IS GOING TO BE EFFECTIVE, SO THIS REALLY HELPS TO GET THE
INFORMATION TO PEOPLE, BUT ALSO IT'S LAST BECAUSE 3 AND 6 MONTHS POST TRAIN WE FIND THE SAME
IMPACTS OR LASTING IMPACTS ON PEOPLE'S WILLING TOMORROWS ACT AND PEOPLE TYPICALLY USE THE COURSE
WITHIN THREE MONTHS.
I WILL SAY SOMETHING QUICKLY ABOUT THE GROWTH OF THE PROGRAM, AS I WRAP UP HERE.
KNOWING THAT WE HAVE HAD SOME GREAT NATIONAL STRATEGIC GROWTH IN PARTNERSHIP WITH SO MANY
ORGANIZATIONS, LIKE THE NATIONAL FOSTER PARENT ASSOCIATION, BOYS AND GIRLS CLUBS OF AMERICA.
THE SWORN OFFICERS IN THE U.S. WITH CRISIS PREVENTION TRAINING FOR 20% OF THE FORCE.
STATE'S FEDERAL FUNDING AND STAYED WIDE FUNDING HAS REALLY SUPPORTED THE GROWTH OVER TIME.
LOOKING AHEAD, REALLY EXCITED THAT ALL OF OUR CONTENT AND VIDEOS ARE BEING UPDATED.
NEXT YEAR, WE'RE OFFERING 4 PLUS 2 BLENDED LEARNING MODEL FOR THE 8-HOUR COURSES AND OUR YOUTH
COURSE IS 6 HOURS SO IT DECREASES THAT TIME THAT IS TYPICALLY 8 HOURS THIS YEAR.
IT WILL BE 6 HOURS OR 4 HOURS ONLINE AND 2 HOURS IN PERSON.
AND TEEN MENTAL HEALTH FIRST AID WILL BE ROLLED OUT IN SCHOOLS ACROSS THE COUNTRY AND WE COULDN'T
BE MORE EXCITED TO PARTNER WITH THE LADY GAGA BORN THIS WAY FOUNDATION MAKE THAT HAPPEN.
TO ACCESS COURSES IN YOUR AREA, VISIT MENTALHEALTHFIRSTAID.ORG AND YOU CAN SEE ALL OF THE
INSTRUCTORS AND COURSES AVAILABLE IN YOUR AREA.
SOMETHING WE CAN DO RIGHT NOW IS PUT THIS NUMBER IN YOUR PHONE.
800-273-8255.
YOU DON'T HAVE TO TAKE MENTAL HEALTH FIRST TIED SAVE LIVE, YOU CAN USE THE NATIONAL SUICIDE
PREVENTION HOT LEAN, PLACE THAT IN YOUR PHONE AND REALLY SUPPORT SOMEONE EVEN IF CRISIS TEXT LINE
IS AVAILABLE AT 741-741 WHICH YOU CAN TEXT TO GET LIVE-SAVING HELP FOR SUICIDE FOR SOMEONE
IMMEDIATELY.
THOSE ARE GREAT RESOURCES YOU CAN USE EVEN RIGHT NOW TO ADD TO YOUR TOOL BELT.
>> ONE MORE THOUGHT.
THANK YOU SO MUCH, TRAMAINE, IT IS SUCH A COMPREHENSIVE PROGRAM, AND I THINK ONE OF THE THINGS THAT
I'VE BEEN WONDERING BROADLY IS, I NOW THERE IS BOTH THE PARTICIPANT TRAINING AND PEOPLE CAN USE THE
SEARCH TOOL FIND LOCAL TRAININGS AVAILABLE AND YOU HAVE THE OPPORTUNITY FOR PEOPLE BECOME
INSTRUCTORS.
CAN YOU TALK ABOUT THE INSTRUCTOR PROCESS.
>> SURE, ABSOLUTELY.
SO WE HAVE AMAZING PEOPLE ON THIS WEBINAR WHO ARE INSTRUCTORS AND WE THANK YOU FOR BEING AN
INSTRUCTOR.
WE HAVE MORE THAN 200 OPPORTUNITIES ANNUALLY FOR INDIVIDUALS TO BECOME INSTRUCTORS.
THEY ARE ABLE TO PAY A SPECIFIC TUITION FEE, BECOME AN INSTRUCTOR IN A TRAINING NEAR THEM.
DO WE HOST THEM ALL OVER THE COUNTRY.
THEY ATTEND FOR 3 TO 5 DAYS, DEPENDING ON THE CAP IN THE NUMBER OF PEOPLE IN THAT COURSE, IT CORE
16 OR 30.
TYPICALLY, IT IS A FIVE-DECORS OF 30 PEOPLE.
THEY ATTEND THE COURSE, PASS THE EXAM, PASS THE PRESENTATION AND ARE ORDER TO ORDER MANUALS FOR
THEIR PARTICIPANTS AND TRAIN IN THEIR COMMUNITY WITHOUT ANY FURTHER REQUIREMENT TO COME IN PERSON
TO DO TRAINING.
WE GIVE PROFESSIONAL DEVELOPMENT ON GOING, AND THAT WAY LIBRARIES CAN BUILD THEIR OWN
SUSTAINABILITY BY MAKING SURE THAT THE ONLY ON GOING COSTS ARE THE MANUALS FOR THE COURSE FOR
PARTICIPANTS AND HAVING THAT ONE-TIME COST TO ADD AN INSTRUCTER TO THEIR TEAM.
>> THAT'S REALLY GREAT.
THE REASON I WANT PEOPLE TO BE AWARE OF THAT OPTION IF YOU ARE IN A STATE WHERE YOU HAVE A REGIONAL
LIBRARY OR, YOU KNOW, DISTRICT LIBRARIES OR STATE LIBRARY, THIS COULD BE THE OPPORTUNITY TO WORK
TOGETHER AS A GROUP AND EVEN PULLING IN YOUR HEALTH DEPARTMENT, YOU CAN FIND OTHER PARTNERS TO HELP
COVER THE COST IF YOU WANT TO HAVE A TRAINER WHO IS DEDICATE THE FOR PROVIDING SOME TRAINING TO
LIBRARY STAFF AROUND THE STATE OR IN A REGION, IF YOU'RE PART OF A VERY LARGE LIBRARY SYSTEM, IT IS
CERTAINLY WORTH CONSIDERING, BUT ONE OF THE THING IS FOUND CERTAINLY, IN URBAN AREAS BUT THERE IS A
LOT OF TRAINING GOING ON THAT IS BEING ORED GENERALLY IT LOOKED LIKE FOR THE COST OF MATERIALS FOR
THE WORK BOOK SO $25 FOR THE TWO-DAY TRAINING, IT'S WORTH LOOKING INTO TO SEE IF THERE IS ONE IN
YOUR AREA, AND IF THERE ISN'T, THAN IS OF INTEREST TO YOU, THINK ABOUT HOW YOU CAN FIND PARTNERS
AND ALLIES TO APPROACH THIS TOGETHER.
IT IS A GREAT PROGRAM AND BEEN HEAVILY UTILIZED ALREADY BY LIBRARIES AND WE'RE LOOKING FORWARD TO
SEEING IT EXPAND.
THERE IS A QUESTION, TRAMAINE, FROM JESSICA ABOUT WHEN THE NEW SUICIDE HOT LINE NUMBER WILL BE
GOING UP DOCUMENT KNOW ABOUT THAT?
>> YES.
988, THE FCC JUST APPROVED AND MOVED FORWARD WITH CHANGING THE LONG SUICIDE PREVENTION LIFE LINE
NUMBER AND LOTS OF ADVOCATESES ACROSS THE COUNTRY HAVE ADVOCATESSED FOR THIS FOR A LONG SOMETIME
WE'RE EXCITED FOR THIS HAPPENING.
IT WILL CHANGE FROM THE 800-273-TALK NUMBER I MENTIONED TO 988, WHICH IS WAY EASIER TO REMEMBER,
SOMETHING WE CAN TRAIN EVEN 2-YEAR-OLDS TO DO.
WE'RE REALLY EXCITED ABOUT THAT.
THAT ACTION THAT APPROVAL, JUST HAPPENED THIS PAST WEEK AND SO I DON'T -- I DO NOT KNOW WHEN
THEY'RE PLANNING FOR THAT TO GO LIVE.
I KNOW WE'RE PART OF A COALITION OF ORGANIZATIONS THAT IS HELPING THAT MOVE FORWARD, AND I CAN SEE
THAT HAPPENING EARLY NEXT YEAR IN TERMS OF THEM GIVING ADDITIONAL GUIDE ANNALS.
WE WILL KEEP OUR EARS TO THE GROUND AND KEEP YOU ALL APPRISED, AS WELL.
WE CAN LET YOU KNOW AS SOON AS WE DO WHEN THEY PLAN TO EXPAND THAT NATIONALLY.
>> THAT'S GREAT.
I'VE JUST PUT THAT NUMBER BACK ON THE SCREEN AGAIN FOR THOSE OF YOU WHO HAVE JOINED.
AGAIN, THIS IS A NUMBER YOU CAN PASS ALONG THIS PATRONS, YOU CAN HAVE INFORMATION UP IN THE
LIBRARY.
SOMETIMES IT IS DIFFICULT FOR PEOPLE WHO ARE FEELING OVERWHELMED TO TALK TO SOMEONE, SO HAVING
INFORMATION POSTED IN YOUR LIBRARY, WHICH IS ALSO A LOW-KEY APPROACH TO MAKING THIS PART OF OUR
CONVERSATION, RIGHT, LIKE HAVING INFORMATIONAL BOOK DISPLAYS ABOUT RESOURCES THAT THE LIBRARY HAS
AVAILABLE THAT EVENTS THAT ARE HAPPENING IN THE COMMUNITY.
YOUR LIBRARY MAY NOT HAVE THE CAPACITY TO OFFER TARGETED PROGRAMMING, BUT WE HAVE COLLECTIONS THAT
HAVE BEEN CURATED, WE HAVE ACCESS TO PARTNERS AND RESOURCES IN THE COMMUNITY AND SO OFTEN PEOPLE
WHO WALK THROUGH THE DOORS OF A PUBLIC LIBRARY ARE LOOKING FOR SUPPORT AND FOR INFORMATION THAT CAN
HELP THEM BETTER THEIR LIVES.
AND IN SOME CASES, SAVE IT SO DO CONSIDER PUTTING THIS INFORMATION UP AND MAKE TAKE VAIL
RESPONSIBLE PEOPLE CAN HAVE IT IN THEIR TIME OF NEED.
AS WE LOOK AHEAD, A COUPLE OF THINGS TO THINK ABOUT.
ONE, CHECK OUT THE LEARNER GUIDE FOR THIS COURSE.
DO WE LIKE TO CONSIDER WAYS TO EXTEND OUR LEARNING BEYOND THIS SESSION.
THINK ABOUT HAVING A LUNCHTIME CHAT WITH A COLLEAGUE ABOUT HOW YOU MIGHT BE ABLE TO APPROACH THIS.
HELP TO, YOU CAN BE THE CHAMPION FOR THIS TYPE THE OF WORK IN YOUR LIBRARY AND THAT LEARNER GUIDE
SOMEONE MORE WAY TO LET YOU THINK A LITTLE BIT MORE ABOUT NEXT STEPS.
DO ACKNOWLEDGE AND UNDERSTAND WE HAVE OUR OWN BIASES AND THAT IS IMPORTANT AND WE CAN CONTINUE TO
IMPROVE THEM, ESPECIALLY WHEN SERVING THE PUBLIC.
 SEEK TRAINING FOR STAFF AND PUBLIC.
WE TALKED ABOUT A FEW THINGS AVAILABLE TO HELP LIBRARIES AS THEY FACE THE COMMUNITY HEALTH
CHALLENGES PROACH ADVISE, ACCESS TO NALOXONE, MENTAL HEALTH FIRST AID AND OTHER COMMUNITY ISSUES,
SOME OF THE LIBRARIES WE FEATURED IN THE RESEARCH FOR ARE THIS PROJECT HAVE SOCIAL WORKERS IN
LIBRARY AND PEER NAVIGATORS AND CALL McZOO PUBLIC LIBRARY.
THEY HAVE PEOPLE THERE WHO ARE DEDICATED TO HELPING FOLKS NAVIGATE THE SOCIAL SERVICE ISSUES, WE
HAVE LIBRARIES THAT ARE DISTRIBUTING DRUG DISPOSAL BAGS TO HELP PEOPLE SAFELY GET RID OF
MEDICATIONISM REALLY ENCOURAGE TO YOU CHECK OUT THE SUMMARY REPORT AND CASE STUDIED FOR IDEAS AND
REMEMBER THERE WILL ALWAYS BE ANOTHER CRISISES AND BEING COMPASSIONATE CAN ALWAYS BE PART OF OUR
RESPONSE.
LIBRARIES DO AMAZING WORK EVERY DAY AND WE ARE PEA SO APPRECIATIVE YOU'VE COME HERE TODAY TO LEARN
A LITTLE BIT MORE AND WE'RE LOOKING FORWARD TO LEARNING MORE ABOUT HOW YOU HELP YOUR COMMUNITY
GOING FORWARD.
THANK YOU FOR YOUR TIME, AND JENNIFER, I WILL TURN IT BACK OVER TO YOU.
>> FANTASTIC.
' REMINDED EARL, AIL SEND YOU AN E-MAIL TODAY WHEN THE RECORDING IS AVAILABLE AND SEND YOU A
CERTIFICATE WITHIN A WEEK FOR JOINING TODAY.
AS YOU LEAVE TODAY'S IS WE'RE GOING TO SEND YOU TO A SHORT SURVEY THAT WILL COLLECT YOUR FEEDBACK
ON TODAY'S SESSION.
WE REALLY APPRECIATE THAT.
IT IS HELPFUL FOR US TO SHARE WITH OUR PRESENTERS LAND HELP US WITH THE DECISIONS AROUND ON GOING
PROGRAMMING.
SO THANKS FOR TAKING THAT TIME.
AND EARN HAVE A FANTASTIC DAY.
THANK YOU TO OUR PANELISTS AND TO OUR CAPTIONER AND TO OUR SUPPORT, EVERYONE HAVE A GREAT DAY.